| NPI | 1790937985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C.T. BECKHAM Chief Of Staff/Board Member 502-471-9538 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 810256) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |